M23
M23 — Internal derangement of knee
Non-billable headerICD-10-CM
M23 is a non-billable header ICD-10-CM code for internal derangement of knee. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Other codes that can never be billed with M23
These codes carry an Excludes1 note pointing at M23. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M23 alone.
- S83.2Tear of meniscus, current injury
Risk adjustment
M23 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M23
8 child codes. Green means billable.
- M23.0Cystic meniscus
- M23.2Derangement of meniscus due to old tear or injury
- M23.3Other meniscus derangements
- M23.4Loose body in knee
- M23.5Chronic instability of knee
- M23.6Other spontaneous disruption of ligament(s) of knee
- M23.8Other internal derangements of knee
- M23.9Unspecified internal derangement of knee
Questions about M23
- Is M23 a billable ICD-10-CM code?
- No. M23 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M23 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other joint disorders (M20-M25).
- What cannot be coded together with M23?
- M23 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.